Figure 1: (a) Modified apical 4 chamber view TTE showing a 2.4 cm × 2.4 cm pedunculated myxoma in the right atrium (RA) attached to RA free wall extending to interatrial septum, (b) Modified apical 4 chamber view TTE showing 1.1 cm × 1.1 cm pedunculated myxoma attached to the septal leaflet of the tricuspid valve, (c) CW Doppler across the tricuspid valve showing severe high-.pressure TR with 60 mmHg gradient, (d) TTE basal short axis view showing dilated RVOT, pulmonary artery and heterogenous pedunculated right atrium mass with calcium specks attached to RA free wall